Facts
- Status
- A
- Credential
- Pharm D.
- Type
- Individual
- Enumeration date
- 2006-08-20
- Last updated
- 2022-02-24
Specialties
Licenses
- License NM
- 6652
Location
- Practice location
- TOHATCHI HEALTH CENTER, 07 CHOOSHGAI DRIVE
- City
- TOHATCHI NM
- Postal code
- 87325
- Phone
- 505-733-8218
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.